中华医学美学美容杂志
中華醫學美學美容雜誌
중화의학미학미용잡지
CHINESE JOURNAL OF MEDICAL AESTHETICS AND COSMETOLOGY
2014年
6期
433-435
,共3页
任纪祯%陈振雨%王彦进%陈璐
任紀禎%陳振雨%王彥進%陳璐
임기정%진진우%왕언진%진로
瘢痕%面部%高压氧%皮肤磨削术
瘢痕%麵部%高壓氧%皮膚磨削術
반흔%면부%고압양%피부마삭술
Scar%Face%Hyperbaric oxygenation%Skin dermabrasion
目的 探讨高压氧治疗在面部瘢痕皮肤磨削术后创面愈合中的作用.方法 将行面部瘢痕皮肤磨削术患者32例(痤疮后凹陷性瘢痕20例,外伤后条索状线性瘢痕12例),随机分为两组:16例为高压氧治疗组,于术后第1天开始给予高压氧干预,每日1次,连续6d;另外16例作为对照组,只给予常规术后换药处理,换药程序与高压氧治疗组相同,观察高压氧治疗组与对照组在磨削术后创面换药天数及愈合时间上的差异.结果 16例磨削创面进行高压氧治疗后创面愈合较快,平均换药时间为(4.0±1.2)d,平均愈合时间为(11.0±2.8)d,无创面感染.对照组16例磨削创面愈合较慢,平均换药时间为(5.0±1.6)d,平均愈合时间为(16.0±3.1)d,无创面感染.两组患者以供皮区创面内层敷料完全自然翘起,可轻易揭除,揭除的时间为判定愈合标准,两组愈合时间比较差异有统计学意义(P＜0.05),换药天数差异无统计学意义(P＞0.05).结论 面部瘢痕皮肤磨削术后行高压氧治疗可以促进磨削区创面愈合,缩短愈合时间.
目的 探討高壓氧治療在麵部瘢痕皮膚磨削術後創麵愈閤中的作用.方法 將行麵部瘢痕皮膚磨削術患者32例(痤瘡後凹陷性瘢痕20例,外傷後條索狀線性瘢痕12例),隨機分為兩組:16例為高壓氧治療組,于術後第1天開始給予高壓氧榦預,每日1次,連續6d;另外16例作為對照組,隻給予常規術後換藥處理,換藥程序與高壓氧治療組相同,觀察高壓氧治療組與對照組在磨削術後創麵換藥天數及愈閤時間上的差異.結果 16例磨削創麵進行高壓氧治療後創麵愈閤較快,平均換藥時間為(4.0±1.2)d,平均愈閤時間為(11.0±2.8)d,無創麵感染.對照組16例磨削創麵愈閤較慢,平均換藥時間為(5.0±1.6)d,平均愈閤時間為(16.0±3.1)d,無創麵感染.兩組患者以供皮區創麵內層敷料完全自然翹起,可輕易揭除,揭除的時間為判定愈閤標準,兩組愈閤時間比較差異有統計學意義(P＜0.05),換藥天數差異無統計學意義(P＞0.05).結論 麵部瘢痕皮膚磨削術後行高壓氧治療可以促進磨削區創麵愈閤,縮短愈閤時間.
목적 탐토고압양치료재면부반흔피부마삭술후창면유합중적작용.방법 장행면부반흔피부마삭술환자32례(좌창후요함성반흔20례,외상후조색상선성반흔12례),수궤분위량조:16례위고압양치료조,우술후제1천개시급여고압양간예,매일1차,련속6d;령외16례작위대조조,지급여상규술후환약처리,환약정서여고압양치료조상동,관찰고압양치료조여대조조재마삭술후창면환약천수급유합시간상적차이.결과 16례마삭창면진행고압양치료후창면유합교쾌,평균환약시간위(4.0±1.2)d,평균유합시간위(11.0±2.8)d,무창면감염.대조조16례마삭창면유합교만,평균환약시간위(5.0±1.6)d,평균유합시간위(16.0±3.1)d,무창면감염.량조환자이공피구창면내층부료완전자연교기,가경역게제,게제적시간위판정유합표준,량조유합시간비교차이유통계학의의(P＜0.05),환약천수차이무통계학의의(P＞0.05).결론 면부반흔피부마삭술후행고압양치료가이촉진마삭구창면유합,축단유합시간.
Objective To study the function of hyperbaric oxygen in the wound healing of skin dermabrasion.Methods A total of 32 cases of facial scar underwent skin dermabrasion,in which 20 cases were caused by acne and 12 cases by external injury.16 cases were given hyperbaric oxygen treatment after skin dermabrasion randomly and lasted for 6 days,while the other 16 cases were given only routine dressing change which was same to the hyperbaric oxygen group.We observed the wound healing time and dress changing time under the condition of hyperbaric oxygen and no hyperbaric oxygen after skin dermabrasion.Results Sixteen cases received hyperbaric oxygen recovered with short healing time,average 11 days,while other 16 cases received no hyperbaric oxygen recovered with longer healing time,average 16 days,without wound infection.Significant statistical difference (P＜0.05) was found by SPSS 11.5 analysis.However,the average time of dress changing in hyperbaric oxygen group was 5 days,which was a little more than that of the group without hyperbaric oxygen treatment (average time of 4 days) although there was no significant statistical difference between the two groups.Conclusions The wound healing of skin dermabrasion can be improved by hyperbaric oxygen.
